Individual provider Active NPI

Trisha Patil, OTR/L, CHT

  • Hand Occupational Therapist
  • Sunnyvale, CA
National Provider Identifier
1083109094
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT18763 Issued in CA
Practice address
1021 S Wolfe Rd Ste 125
Sunnyvale, CA 94086-8878
Phone
(408) 888-6104
NPI assigned
Jun 22, 2018
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT18763 CA
Hand Occupational Therapist 225XH1200X OT18763 CA Primary

Addresses

Primary practice location

1021 S Wolfe Rd Ste 125
Sunnyvale, CA 94086-8878

Mailing address

1075 Reed St
Santa Clara, CA 95050-3810
Phone (314) 496-8262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181012000823 CA Practitioner - Occupational Therapist in Private Practice 9133471501 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1021 S Wolfe Rd
Suite 125
Sunnyvale, CA 94086-8878
Phone (408) 888-6104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT18763CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nike Therapy Services LLC Occupational Therapist CurrentSince Jul 10, 2023 Accepting new patients
Richard P Carr Physical Therapy Inc CurrentSince Aug 8, 2018 Accepting new patients
Richard P Carr Physical Therapy Inc CurrentSince Aug 8, 2018 Accepting new patients

Locations

500 E Calaveras Blvd
Ste 112
Milpitas, CA 95035
Phone (408) 733-3670

605 Tennant Ave
Ste F
Morgan Hill, CA 95037
Phone (408) 778-3434

2488 De la Cruz Blvd
Santa Clara, CA 95050
Phone (408) 247-7278

1021 S Wolfe Rd
Ste 125
Sunnyvale, CA 94086
Phone (408) 888-6104

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1083109094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 REED ST",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950503810",
            "telephone_number": "314-496-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 S WOLFE RD STE 125",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940868878",
            "telephone_number": "408-888-6104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIL",
        "first_name": "TRISHA",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT18763",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT18763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.